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Dr. Kevin Sean Gavin, DPM
Sports Medicine Podiatrist in Algonquin, Illinois
NPI 1861424624

Kevin Sean Gavin is a Sports Medicine Podiatrist based in Algonquin, IL and is specialized in Sports Medicine. Kevin Sean Gavin practices in Algonquin, IL and has the professional credentials of DPM. The NPI Number for Kevin Sean Gavin is 1861424624 and holds a License No. 016004743 (Illinois).

The current practice location address for Kevin Sean Gavin is 1219 S Main St, Algonquin, IL and can be reached out via phone at 847-458-1800 and via fax at 847-458-8447.

Location: 1219 S Main St, Algonquin, IL, 60102-2741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861424624
Provider Name
Kevin Sean Gavin
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1219 S Main St, Algonquin, IL, 60102-2741
Phone Number
847-458-1800
Fax Number
847-458-8447
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01606879 01 IL BLUE CROSS BLUE SHIELD
480023961 01 IL RAILROAD MEDICARE
5090108 01 IL AETNA
institution
Provider Business Practice Location Address Details
Address
1219 S Main St
City
Algonquin
State
Illinois
Zip
60102-2741
Phone Number
847-458-1800
Fax Number
847-458-8447
person
Provider Business Mailing Address Details
Address
1219 S Main St
City
Algonquin
State
Illinois
Zip
60102-2741
Phone Number
847-458-1800
Fax Number
847-458-8447
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
016004743 (Illinois)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Public Medicine
Taxonomy
213EP0504X
License No.
016004743 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
016004743 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Radiology
Taxonomy
213ER0200X
License No.
016004743 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
213ES0000X
License No.
016004743 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
016004743 (Illinois)
Definition
Definition to come...
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